REGISTRATION FORM


 








 

Registration Details

 

S.No. Particulars Rate (Rs.) Amount (Rs.)
1 Tabler Couple 13500
2 Tabler Single (Twin Sharing) 8500
3 HT / Sq.Leg Couple 13000
4 HT / Sq.Leg SIngle (Twin Sharing) 8000
5

Moksha Cottage Premium

(subject to availability)

5000
6 Children beow 5 years (w/o extra bed) Free
7 Children between 5-12 years (w/o extra bed) 1000
8

Extra Bed Supplement (max 1 per room)

1000

(per night)

9 Maid (including 3 meals at staff cafeteria & stay at staff quarters)

750

(per day)

10

Direvers (including 3 meals at staff cafeteria & stay at drivers dorm -

accomodation subject to availabitity on first come first serve)

500

(per day)

11

Late fee for all payments received after 5th August 2008

(in addition to any of the above)

1000
TOTAL
 
 
 

PERSONAL DETAILS

Name: ………………………………………………………………….. DOB: ……………………… Table No. : ………………..

Mailing Address: …………………………………………………………………………………………….. Veg / Non Veg: ……………

Tel.: ………………………… Mobile: ……………………….. E-mail: ………………………………………… Shirt Size: …………………

Spouse: ………………………………………………………………... DOB: ……………………… Circle No. : ……………….

Tel.: ………………………… Mobile: ……………………….. E-mail: ………………………………………… Veg / Non Veg: …………..
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DETAILS OF CHILDREN

1. ……………………………………………………………….. Sex: ……………… Age: …………. yrs

2. ……………………………………………………………….. Sex: ……………… Age: …………. yrs

3. ……………………………………………………………….. Sex: ……………… Age: …………. yrs

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PAYMENT DETAILS


Cash / Cheque / DD No.: …………..……………. Dated: ……………. Drawn on: ………....……………..……..…………… for Rs………………… Cheque / DD to be drawn in favour of ‘DMRT A/c AREA 5 AGM’ payable at New Delhi.

Send the registration form and cheque / DD / Cash to:

Tr. Salil Rai – Registration Convenor

C/o Perma Papers Pvt Ltd., UGF 7, Arunachal Building, 19 Barakhamba Road, New Delhi; Mobile: 981012024

OR

You can deposit the money directly in HDFC Bank anywhere in India in A/c no. 04831330000294 & courier or e-mail registration form along with a copy of deposit slip to Tr. Salil Rai at E-mail: area5agm@gmail.com

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TERMS & CONDITIONS

  1. Registration fee is inclusive of all taxes, accommodation and food (from 5th Sep’08 lunch to 7th Sep’08 brunch)

  2. Delegates are requested to settle other personal bills (inc. room service, mini bar, etc) at the front office prior to departure.

  3. Cancellation allowed till 5th August subject to payment of cancellation fee of Rs.1000/-.

  4. Registrations are transferable however, such transfers to be sorted out by Tablers on their own and Registrations Convenor to be informed the same.

  5. Last date of full payment is 5th August 2008. Payments / Registrations after 5th August 2008 will attract a late fee of Rs.1000/-.

  6. Delegates have to arrange their own transport till the Timber Trail Resort.

  7. You will be required to take a cable car ride from Timber Trail Resort base station to Timber Trail Heights and Moksha. One to and fro cable car ride is included in your registration. Additional rides may attract some levy. Cable car operates from 9:00 am to 6:00 pm.